Individual
ESTHEFANY MARMOL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
119 W 135TH ST APT 1B, NEW YORK, NY 10030-2936
(646) 345-1367
Mailing address
119 W 135TH ST APT 1B, NEW YORK, NY 10030-2936
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
022293
NY
Other
Enumeration date
02/22/2018
Last updated
02/22/2018
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